Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.

More about Dr. Prabash Nayak

Dr. Prabash Nayak is a trusted Urologist in Mahanadi Vihar, Cuttack. He has been a successful Urologist for the last 16 years. He has completed MBBS, Shadan Institute of Medical Sciences, Research Centre and Teaching Hospital, Peerancheru, Batra Hospital & Medical Research Centre, New Delhi . He is currently associated with Urvasi Hospital in Mahanadi Vihar, Cuttack. Don’t wait in a queue, book an instant appointment online with Dr. Prabash Nayak on Lybrate.com.

Lybrate.com has a nexus of the most experienced Urologists in India. You will find Urologists with more than 35 years of experience on Lybrate.com. You can view profiles of all Urologists online in Cuttack. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Yes your urologist is absolutely right. No surgery should be done at this age for high bladder neck .but you can try tab Flotral 10 mg daily once at bed time for one month. Hope your urine culture report is sterile. But I think it's mostly prostatitis. Pliz do a semen culture and sensitivity test. Mostly you need long term antibiotics therapy. But don't start any antibiotics before semen sample collection.

Bladder prolapse is a condition wherein a woman’s vaginal wall ceases to adequately support the urinary bladder. The front wall of the vagina gives support to the bladder under normal circumstances but when this wall weakens, it allows the bladder to droop and become prolapsed. This can lead to a wide range of medical problems such as urinary difficulties, stress incontinence (leakage of urine while coughing or sneezing), pain and discomfort, etc.

Prolapsed bladders are generally associated with menopause. Also known as cystoceles or fallen bladders, they are categorized into four different types depending on the extent to which the bladder has prolapsed.Grade 1: This is the mild stage wherein a small portion of the bladder droops into the vagina.Grade 2: This is the moderate stage in which the bladder droops far enough to reach the opening of the vagina.Grade 3: This is when the condition becomes severe and the bladder protrudes from the body through the opening of the vagina.Grade 4: This occurs when the bladder has completely prolapsed. The entire bladder protrudes outside the vagina and is normally associated with other forms of pelvic organ prolapse such as uterine prolapse (the sagging of the uterus from its normal spot) and rectocele (prolapse of the wall between the vagina and the rectum).

What are the causes of prolapsed bladders?
Following are the factors that lead to the condition of prolapsed bladders:

Menopause: The vaginal walls are known to become weak upon the onset of menopause. This occurs because the body inhibits the production of oestrogen, the hormone that renders strength to the muscles of the vagina. As a result, the bladder is no longer supported by the vagina.

Childbirth: The process of childbirth puts a tremendous amount of stress on the vagina and often leads to deterioration of the muscles of the vaginal wall. This in turn leads to the condition of prolapsed bladder.

Straining: Anything that puts strain on the walls of the vagina can lead to this condition. This includes lifting heavy objects, chronic constipation, obesity, excessive coughing and sneezing or any other factor that damages the pelvic floor.

What are the symptoms of a prolapsed bladder?
Symptoms of a prolapsed bladder vary from case to case, depending on the category and extent of the condition. Some of the most commonly experienced symptoms of the condition are as follows:
Tissue sticking out of the vagina (that may be tender and/or bleeding)

Yes there is medicine to reduce prostate size, but before that do serum PSA, post void residual status in USg report, uroflometry. And consult your urologist with all reports and explain him in details about your urinary problem, do that he/she can prescribe appropriate medicine for you. Thank you.

Cancer is the most dangerous disease noticeable throughout the world. The most common type of cancer that affects men is prostate cancer. Prostate is a small exocrine gland situated directly below the bladder and in front of the rectum. This is gland is approximately in size of a walnut and plays an important role in production of a milky fluid during orgasm of sex in which the semen travels. During the climax stage of the prostate gland is forced to push the fluid and remove the semen out of the reproductive structures.

Prostate gland is a slow progressive disease which makes many males left unidentified even the presence of prostate cancer even until they die. 6 out of 100 male over the age of 60 are getting prostate cancer. Though prostate cancer can be cured at a better rate when compared to other type of cancer it is always best to stay protected. Prevention is always better than cure. Here are few tips to keep your prostate healthy.

Signs and symptoms of prostate cancer-

During the early stages of prostate cancer there are usually no symptoms. Most men at this stage find out they have prostate cancer after a routine check up or blood test. When symptoms do exist, they are usually one or more of the following:

The patient urinates more often

The patient gets up at night more often to urinate

He may find it hard to start urinating

He may find it hard to keep urinating once he has started

There may be blood in the urine

Urination might be painful

Ejaculation may be painful (less common)

Achieving or maintaining an erection may be difficult (less common).

If the prostate cancer is advanced the following symptoms are also possible:

Diet and weight – the most important factor is the diet to maintain a healthy weight. Avoid fatty food items and take fats from vegetables than from animals. Avoid dairy products and increase the intake of fresh fruits and vegetables.

Exercise – have a regular practise of doing exercise at least for 30mins a day. This really helps you to keep your body fit.

Be precautious – if you have a family history of prostate cancer or if you feel you are at high risk of getting prostate cancer talk with your doctor about it and take preventive drugs as per the doctor’s advice.

Red foods – research shows that men who consume red foods like watermelon, tomato and other red fruits are at lower risk of getting prostate cancer as they contain a powerful antioxidant called lycopene

Caffeine – three to four cups of coffee per day reduces your risk of getting prostate cancer.

Stop smoking – if you are at high risk of getting prostate cancer it is best advised to quit smoking and alcohol.